Organization
CEDAR RIDGE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE BUNDY (CONTROLLER)
(612) 326-7555
Entity
Organization
Contact information
Practice address
11400 JULIANNE AVE N, STILLWATER, MN 55082-9436
(612) 326-7555
Mailing address
550 MAIN ST, NEW BRIGHTON, MN 55112-3271
(612) 326-7555
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1033826
MN
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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